A Study of Visual and Anatomical Outcomes of Cataract Surgery with Intraoperative Complications in a Teaching Institute

Abstract

Introduction: To study the incidence, visual outcomes, and
anterior segment anatomical outcomes of intraoperative
complications of cataract surgery.
Materials and Methods: This is a prospective observational
hospital-based study conducted in the department of
Ophthalmology SRMS IMS, Bareilly, Uttar Pradesh. In
this study, 70 patients were studied for 1.5 yrs from 1st of
November 2019 to 13th of April 2021. All these patients with
intraoperative complications were evaluated preoperatively and
post-operatively for vision and anterior segment anatomical
outcomes.
Results: In this study, the commonest intraoperative
complication was Injury to Iris/ Iridodialysis (52.9%). Based
on pre-operative vision, the patients had 5/60 and 6/36 vision
with 30.0%, each followed by 6/24 (14.3%) and 3/60 (12.9%).
Corneal hazy/edema was reduced to 10.0% at one-month
follow-up from 52.9% on post-operative day one. Also, DM
folds were reduced to 11.4% from 75.7% at day one.
Conclusions: In this study, visual outcome of the cataract
surgery was much better, and there is a significant progression
in the visual acuity. Routine monitoring of the visual outcome
of the cataract surgery at each hospital would go in long-way
to enhance both the quantity and quality of the surgery and
thus decrease the substantial amount of burden of blindness
on our country.